Active NPI
Suzanne Elizabeth Degges-White, PHD, LCPC, LMHC, LCM
- Mental Health Counselor
- Dekalb, IL
National Provider Identifier
1295448397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180012399
- Practice address
- 112 Forsythe LN
Dekalb, IL 60115-2338 - Phone
- (219) 771-4127
- NPI assigned
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180012399 | IL | Primary |
Addresses
Primary practice location
112 Forsythe LN
Dekalb, IL 60115-2338
Mailing address
112 Forsythe LN
Dekalb, IL 60115-2338
Phone (219) 771-4127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180012399 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1295448397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 FORSYTHE LN",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152338",
"telephone_number": "219-771-4127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 FORSYTHE LN",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152338",
"telephone_number": "219-771-4127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGGES-WHITE",
"first_name": "SUZANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD, LCPC, LMHC, LCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180012399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dekalb, IL
- Dori De la Cruz, LCSW
- Ariana De Neveu, BCBA
- Mahum Ayaz Deamantopulos, LSW
- Katherine Dean, RDN
- Brooke Elizabeth Deeringer
- Dekalb Area Retirement Center
- Dekalb Behavioral Health Foundation, Inc.
- Dekalb Behavioral Health Foundation, Inc.
- Dekalb Behavioral Health Foundation, Inc.
- Dekalb Behavioral Health Foundation, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.